Change Order No. 2 & PCA - Chet Waggoner Court Proj No 116-005 - HRP Construction

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TinaCWaiver of Lien STATE OF INDIANA, as Whereas, the undersigned HRP CONSTRUCTION INC. has been heretofore em- ployed by City of South Bend Board of Public Works to furnish certain material and labor, to -wit: Chet Waggoner Court, Project No. 116-005, St. Joseph County, Indiana for the property owned by City of South Bend and located on Chet Waggoner Court City of South Bend , County of St. Joseph State of Indiana. Now THEREFORE, KNow YE, That the undersigned, for and in consideration of. $ 31 292 85 Dollars, the receipt of which is hereby acknowledged, hereby and now waives and releases unto the said owner of said premises, any and all lien, right of lien or claim of whatsoever land of character on the above described building and real estate, TOANDFOR SAIDAMOUNT, on account of any and all labor material, or both, furnished for or incorporated into said building by the undersigned, up to this date, and they further certify that the consideration moving to the undersigned for executing this FINAL WAIVE OF LIEN has been mutually given and accepted as a part payment to or on account of the said Owner for said building and real estate. Signed, sealed and delivered this 13th day of Signed c r Nancy Knapik 20 17 Personally appeared before me this 13th day of January , 20 17 Nancy Knapik who, being duly sworn on oath, says: That he is Controller of the HRP CONSTRUCTION INC. and that he hereby acknowledges the execution of the foregoing instrument for and on behalf of said Corporation and at their special instance and request. My Commission Expires This instrument prepared by: Nancy Knapik Vanheste Notary Public